Aboriginal Peoples’ Experiences of Mental Health and Addictions Care to Inform Culturally Safe Health Policy and Practice and Improved Health Status. Nominated PI: Victoria (Vicki) Smye RN, PhD Co-Is: Annette Browne RN, PhD and Paddy Rodney RN, PhD UBC School of Nursing
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Aboriginal Peoples’ Experiences of Mental Health and Addictions Care to Inform Culturally Safe Health Policy and Practice and Improved Health Status
Nominated PI: Victoria (Vicki) Smye RN, PhD
Co-Is: Annette Browne RN, PhD
and Paddy Rodney RN, PhD
UBC School of Nursing
Funded by the Canadian Institutes of Health Research (CIHR)
** Community Aboriginal Advisory Team
Data collected at urban health and mental health care agencies:
Client: “She lets me know that [if she cares] by asking about me when I’m not around, stuff like that, she asks my outreach worker”…..
“I like when she asks me about my traditional practices – they are very important to me”
“Within the system there is some prejudice people in there and I try not to get too mad with them when I find out that they’re prejudice, they don’t like Natives and they don’t like drug addicts” (C)
Powerful intersecting oppressive forces: race x gender x class x ability …
Points to the need for: Decolonizing Practices
Interviewer: “Why didn’t you get checked out?”
Client: I’ve already got HIV, now I’m crazy too?”
Client: “There must be something wrong with me, I won’t go shower, I take sponge baths in my room… the hotel is so skungy…we share a bathroom…like if its catchable…”
“When I get sick, nobody comes to see me, I literally sit there and starve for a couple of days.”
Healthcare provider: …He always writes on the walls and so [name of housing official] said, okay, well, maybe if you just use pencil instead of felt pen what do you think of that...
So its always options… And he wrote one word on the wall [when he first arrived in his new place] and it was ‘comfort’…Out of his brain that’s not working very well, and he uses far less drugs and he eats regularly now.